Individual
ANDREA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4627 W 130TH ST, HAWTHORNE, CA 90250-5146
(310) 529-4064
Mailing address
4627 W 130TH ST, HAWTHORNE, CA 90250-5146
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
926148
CA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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